Alimatu Kargbo, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

PN307536 Issued in PA

Practice address

204 Macdade Blvd
Yeadon, PA 19050-3835

Phone

(484) 469-3787

Fax

(484) 462-3974

NPI assigned

Jun 11, 2020

Last updated

Jun 12, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1591833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591920000000",
    "number": "1083239370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 MACDADE BLVD",
            "city": "YEADON",
            "state": "PA",
            "postal_code": "190503835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 MACDADE BLVD",
            "city": "YEADON",
            "state": "PA",
            "postal_code": "190503835",
            "telephone_number": "484-469-3787",
            "fax_number": "484-462-3974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARGBO",
        "first_name": "ALIMATU",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-11",
        "last_updated": "2020-06-12",
        "certification_date": "2020-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "PA",
            "license": "PN307536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• JTK Healthcare & Human Services LLC (JTK Healthcare & Human Services)
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• Amara M Kamara
• Marie Kamara, PMHNP
• Mohamed Majid Kamara, CPHARMT
• William T. Kassabian Sr.
• Alicia Rene Kennedy, PT, ATC
• Keystone Premier Care
• Alexis Kornegay
• Melrose Koroma, LPN

• Licensed Practical Nurse in Yeadon, PA
• Providers in Yeadon, PA by specialty
• Licensed Practical Nurse in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.